At Gateway Holistic Care Group (GHCG), our commitment is to provide unparalleled support tailored to your loved one's unique needs. The first step in this journey is understanding their specific requirements, strengths, challenges, and aspirations. 

Why This Intake Form Matters:

This comprehensive intake form ensures we have a detailed understanding of your loved one's background, medical history, preferences, and more. This information allows us to:

• Personalize the care plan effectively.

• Match your loved one with the best-suited professionals within our team.

• Ensure a smooth transition into our programs and facilities.

Assurance of Confidentiality:

 Your trust is paramount. All information shared in this form will remain strictly confidential and will be used solely for the purpose of ensuring the best care for your loved one. Gateway Holistic adheres to strict data protection regulations, ensuring the utmost security and privacy of your details. 

Tips for Completing the Form: 

• Take Your Time: Some sections may require more thought or access to medical records. It's okay to take breaks and come back to the form if needed.

• Be Detailed: The more information you provide, the better we can customize our approach.

• Questions?: If you're unsure about any section, please don't hesitate to reach out. We're here to assist every step of the way!

 Ready to Begin?

Your journey with Gateway Holistic is about to start! As you fill out this form, remember that every detail helps us craft a unique, impactful experience for your loved one. We're excited to welcome you to our community and look forward to the transformative journey ahead.